Hetherington, Peter T

Hetherington, Peter T is an individual health care provider with primary practice located at 1212 Pleasant St Suite 300, Des Moines IA 50309-1453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hetherington, Peter T can be contacted via phone (515) 241-8923.

Contact Information

Primary practice address
1212 Pleasant St Suite 300 Des Moines IA 50309-1453
Phone: (515) 241-8923
Fax: (515) 241-8728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1833 Iowa

Profile Details

NPI number 1205822038
LBN Legal business name Hetherington, Peter T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 17th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205822038 NPPES
Missouri MEDICAID 246763700
Missouri Other 175150053
Missouri MEDICAID 1205822038

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